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- Title
Dudak Onarımı ile Eş Zamanlı Gerçekleştirilen Dudak Yarığı Burnu Düzeltilmesinde İnterdomal Dikiş ile Kresentik Cilt Eksizyonunun Erken ve Geç Dönem Katkılarının Değerlendirilmesi
- Authors
Çalış, Mert; Öz, Zeynep; Özgür, Figen
- Abstract
Objective: The aim of this study is to compare the postoperative correction rates in the follow-up after simultaneous cleft lip nose (CLN) repair with cleft lip repair using either interdomal suture or crescentic skin excision. Material and Methods: Eighty-three unilateral cleft lip patients were operated using modified Millard rotation advancement technique for cleft lip repair and simultaneous cleft lip repair using either interdomal suture or crescentic skin excision. The evaluation of the patients was made using routine standardized preoperative and early and later postoperative caudal nasal photographs. The distance between the nasal base and the most projectile point of the nostril was measured, and the ratio of the cleft side to the noncleft side was calculated. Results: The highest rate was calculated in the early postoperative period in the crescentic skin excision group (1.07±0.29). The ratio was found to be 0.87±0.22 in patients with interdomal suture placement. The lowest rate was observed in patients who did not have any nasal reshaping procedure other than a standard cleft lip repair (0.71±0.16). The highest rate of recurrence was observed among the patients who had crescentic skin excision (0.39 ± 0.16). When recurrence rates were compared, a significant difference was observed in the crescentic skin excision group compared to the interdomal suture placed patients (p=0.005). Conclusion: The simultaneous primary rhinoplasty approach with cleft lip repair appears to be necessary for CLN repair in the long term. Although crescentic skin excision and placement of interdomal suture for this purpose achieve symmetry with the noncleft side and successful results in the early postoperative period, the probability of recurrence should always be taken in consideration. If either of these two techniques is to be preferred for CLN repair, then overcorrection should always be taken in consideration.
- Publication
Turkish Journal of Plastic Surgery, 2017, Vol 25, Issue 2, p67
- ISSN
1300-6878
- Publication type
Article
- DOI
10.5152/TurkJPlastSurg.2017.2162